DENNIS R PETERSON M.D.P.C.
NPI 1164532073
Family Medicine in Bountiful, UT

Active since August 30, 2006
415 MEDICAL DR, SUITE B200, BOUNTIFUL, UT 84010(801) 292-7254(801) 295-5494 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dennis R Peterson M.d.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS R PETERSON M.D.P.C. (NPI 1164532073) is an individual family medicine provider in Bountiful, Utah, licensed in Utah (158238-1205) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164532073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDENNIS R PETERSONCredential: M.D.P.C.
Location Address415 MEDICAL DR, SUITE B200Bountiful, UT 84010-4946
Mailing AddressPo Box 307Bountiful, UT 84011-0307 · (801) 294-6907 · Fax (801) 294-6917
Fax(801) 295-5494
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 6, 2013
NPI 1164532073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 158238-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
415 MEDICAL DR, Bountiful, UT 84010

Other Identifiers 2

Medicare UPIND07309UT
Medicare PIN000000923UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
415 MEDICAL DR, SUITE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR
BOUNTIFUL, UT 84010
Internal Medicine (Pulmonary Disease)
415 MEDICAL DR, SUITE C202
BOUNTIFUL, UT 84010
Clinic/Center
415 MEDICAL DR, D-200
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR
BOUNTIFUL, UT 84010
Clinic/Center (Hearing and Speech)
415 MEDICAL DR, 202A
BOUNTIFUL, UT 84010
Plastic Surgery
415 MEDICAL DR, SUITE D102
BOUNTIFUL, UT 84010
Social Worker (Clinical)
415 MEDICAL DR, SUITE C100
BOUNTIFUL, UT 84010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dennis Peterson's NPI number?

The NPI number for Dennis Peterson is 1164532073. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Dennis Peterson located?

Dennis Peterson practices at 415 Medical Dr Suite B200, Bountiful, UT 84010. The listed phone number is (801) 292-7254.

What is Dennis Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dennis Peterson was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.